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There is a big irony in the current direction of travel. The dogma of the Conservatives is for further marketisation of health. This creates more transactions and inter-relationships that need to be managed. A health market can't be allowed to fail because people die. So the irony is that you would be stripping back management at exactly the same time as you need it to manage the new system as it becomes more complex and produces unintended consequences. It's time to listen to facts and not simple headline narratives! But remember the Milton Friedman economics of the Neocons is all about deliberately creating instability/panic/chaos to drive change!